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Organization
KODAK REDY CONSULTANT SERVICES, LLC
Active
Organization
KODAK REDY CONSULTANT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEE G CARPENTER LISW-CP (COUNSULTANT)
(864) 425-6829
Entity
Organization
Contact information
Practice address
109 MONTCLAIR DR APT A, GREENWOOD, SC 29649-3408
(864) 425-6829
Mailing address
109 MONTCLAIR DR APT A, GREENWOOD, SC 29649-3408
(864) 425-6829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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